| NPI | 1457681736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHUCK A HAGELE Chief Operating Officer 360-690-8495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: ID 26124) |
| Enumeration Date | 2010-01-08 |
| Last Update Date | 2010-01-08 |