| NPI | 1457413700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN EPSTEIN Executive Director 360-479-4959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA 124) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2020-08-22 |