| NPI | 1588869093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN S NEISWENDER CFO 253-502-5403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA 27019101) |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2007-07-11 |