| NPI | 1427864586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE BRAZIER Administrative Services Director 360-475-6715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care |
| Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2024-12-04 |
| Last Update Date | 2025-08-14 |