| NPI | 1669675609 |
|---|---|
| Other Name | CHS SHORELINE 148TH |
| Entity Type | Organization |
| Authorized Contact | BERATTA GOMILLION Executive Director 206-362-7282 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: WA 154) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2013-06-14 |