| NPI | 1588025530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL WILSON President 253-310-6583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2016-03-17 |
| Last Update Date | 2016-03-17 |