| NPI | 1548332190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE M. THELEN Compliance & Policy Analyst 253-761-3898 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: WA 027) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2018-10-15 |