| NPI | 1720334170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMONA ANN COLE Certified Peer Counselor 253-405-5961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA 60299337) |
| Enumeration Date | 2012-08-02 |
| Last Update Date | 2012-08-02 |