| NPI | 1689878522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN DOLORES DELLAMAS Owner Administrator 360-299-2750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA 29095300) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2008-06-04 |