| NPI | 1750741245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA MARIE STEADMAN Licsw 360-863-2934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA LW60151170) |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2016-02-26 |