| NPI | 1710040027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY L. HENSLEY Co Owner 425-252-1779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA 31-0751-00) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2020-08-22 |