| NPI | 1730357997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE M. SHOBER President 360-317-8752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA PY00002085) |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2008-02-11 |