| NPI | 1689052540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARINA VALENCIA Administrator 509-888-0773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: WA 603014883) |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2021-03-24 |