| NPI | 1821453424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER COATES Owner 253-268-9299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: WA AP60262506) |
| Enumeration Date | 2015-12-23 |
| Last Update Date | 2016-07-22 |