| NPI | 1932536935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBYN NEWBERRY Director 360-930-6064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA 103K00000X) |
| Enumeration Date | 2013-10-04 |
| Last Update Date | 2013-10-04 |