| NPI | 1609036714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIANA A PROBST Partner 360-807-4479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: WA 750431) |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2008-06-12 |