| NPI | 1871853952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIE GABRIELE HALLIE Primary Therapists 253-272-5059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA LW 00005315) |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2012-10-12 |