| NPI | 1861098857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA GEARY Member 360-433-7755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X Community/Behavioral Health | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| Enumeration Date | 2020-12-07 |
| Last Update Date | 2020-12-07 |