| NPI | 1588176614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLOTTE BOOTH Executive Director 253-874-3630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA LH00010370) |
| Enumeration Date | 2017-10-30 |
| Last Update Date | 2017-10-30 |