| NPI | 1760979298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD STRIDE Chief Executive Officer 360-330-9044 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: WA 60811831) |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2019-06-11 |