| NPI | 1760046528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA LYNN EDDY Executive Director 360-644-9788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2019-04-26 |
| Last Update Date | 2019-04-26 |