| NPI | 1437374816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDIDA CARTER Data And Finance Director 360-379-5109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA 601174144) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2022-10-19 |