| NPI | 1699804435 |
|---|---|
| Other Name | NATIVITY HOUSE |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE M. THELEN Compliance & Policy Analyst 253-761-3898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: WA RC00057428) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2018-10-15 |