NPI | 1760506315 |
---|---|
Entity Type | Organization |
Authorized Contact | CAROL RUTH HUNDAHL Owner 360-848-8437 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA 29114900) |
Enumeration Date | 2007-03-19 |
Last Update Date | 2020-08-22 |