| NPI | 1902283831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APRIL GODSEY Sole Proprietor 360-561-4073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA LH60267276) |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2015-04-29 |