| NPI | 1558481499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ELLEN OKEEFE Manager 360-255-2111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: WA 601805042) |
| Enumeration Date | 2007-03-31 |
| Last Update Date | 2012-09-19 |