| NPI | 1821048869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA RAE PAPROCKI-SIMS Administrator 360-261-5455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA CP00001819) |
| Additional Taxonomies | 251B00000X Case Management (Licence: WA CP00001819) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2024-06-25 |