| NPI | 1780939306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK F ADAMS General Manager 360-681-2467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA CP00001084) |
| Enumeration Date | 2012-07-19 |
| Last Update Date | 2012-08-01 |