| NPI | 1730264144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE JOAN BAISCH Mate RN Ity Case Management Assistant 206-433-2369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA RC00047482) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: WA RC00048382) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-08-22 |