| NPI | 1770823700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH RALEIGH DEVINE Clinical Supervisor 253-583-2826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: WA SC60224505) |
| Enumeration Date | 2013-02-28 |
| Last Update Date | 2013-03-15 |