| NPI | 1891915948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CECILIA M. MENDOZA Chemical Dependency Professional 253-581-5556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA CP00000989) |
| Enumeration Date | 2007-04-30 |
| Last Update Date | 2020-08-22 |