| NPI | 1619020310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENA M PALM Executive Director 206-283-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: WA 041) |
| Additional Taxonomies | 251S00000X (Licence: WA 018) |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: WA RTF-1057) | |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2020-08-22 |