| NPI | 1447651625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAINE CONSANDINE PICHETTE President 360-528-0563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: WA 603419819) |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2014-09-08 |