| NPI | 1699092718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK MILLER Administrative Director 888-928-2242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: WA 603004554) |
| Enumeration Date | 2010-04-29 |
| Last Update Date | 2020-06-13 |