| NPI | 1679613905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIM DAVIS Executive Director 509-326-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: WA RTF-1068) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2015-02-20 |