NPI | 1720470057 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK PEREBOOM Persident And CEO 253-591-0113 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: WA RTF.FS.60503763) |
Enumeration Date | 2015-02-24 |
Last Update Date | 2015-02-24 |