| NPI | 1477978849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINE SHEPPARD Director 253-350-0661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA 025) |
| Enumeration Date | 2014-02-21 |
| Last Update Date | 2014-02-21 |