| NPI | 1902343460 |
|---|---|
| Other Name | CHILDREN'S MENTAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE M. THELEN Compliance & Policy Analyst 253-761-3898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2017-01-23 |
| Last Update Date | 2018-06-07 |