| NPI | 1912887423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BORAY THACH Administrator 253-230-6912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2025-09-04 |
| Last Update Date | 2025-09-04 |