| NPI | 1548052343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY RUSSELL Executive Director, Founder 360-270-3717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-05-19 |
| Last Update Date | 2025-05-19 |