| NPI | 1538554738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTY D JOHNSON Director 360-672-8278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2015-04-03 |