| NPI | 1578778189 |
|---|---|
| Other Name | THE NOOKSACK HOPE BEHAVIORAL HEALTH PROGRAM |
| Entity Type | Organization |
| Authorized Contact | ERIC R DAVENPORT Governmental Service Executive 360-592-5176 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2011-10-03 |