| NPI | 1710287479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREL C. KELSO Psychiatric Socialworker Supervisor 253-756-2966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: WA PY60040431) |
| Enumeration Date | 2010-10-28 |
| Last Update Date | 2010-10-28 |