| NPI | 1669826533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAT GOODWIN- SNYDER Health Manager 253-939-6648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA CP60099083) |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2016-04-18 |