| NPI | 1861639312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE L BADENOCH President 360-601-6859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OR 19278) |
| Enumeration Date | 2009-01-20 |
| Last Update Date | 2009-01-20 |