| NPI | 1902129620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN FRANCES COOLBAUGH President 253-983-8507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: WA AP30004202) |
| Enumeration Date | 2010-03-09 |
| Last Update Date | 2010-03-09 |