| NPI | 1497905723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIMI JAMES Owner 360-613-4120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA PY00001758) |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2008-09-23 |