| NPI | 1851427694 |
|---|---|
| Doing Business As | A PROFESSIONAL ASSOCIATION |
| Entity Type | Organization |
| Authorized Contact | ERIC R JOHNSON Owner 360-770-8487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA LH00003649) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2008-07-29 |