| NPI | 1871048017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY D FINLEY Owner 360-216-9918 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: WA 603611250) |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2016-08-17 |