| NPI | 1841848132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE LYNN FLEETWOOD Director 360-801-7039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 251B00000X Case Management | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2019-08-29 |
| Last Update Date | 2025-06-26 |