| NPI | 1629349253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH ANN CURRAH Clinical Supervisor 253-879-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA LH5185) |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2012-01-12 |