| NPI | 1811200173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FOREST EDWIN WOODLEY CEO 425-255-5526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA 17149100) |
| Additional Taxonomies | 251B00000X Case Management (Licence: WA 221) |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2010-07-15 |