| NPI | 1538467907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODOLFO MARTINEZ Counselor 253-759-0852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA CO60158298) |
| Enumeration Date | 2011-03-08 |
| Last Update Date | 2011-03-09 |