| NPI | 1619274883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE COOPE Director/Owner 253-426-5319 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA LH60127666) |
| Enumeration Date | 2011-02-23 |
| Last Update Date | 2011-02-23 |