| NPI | 1932651056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER HAMILTON Owner 360-547-3941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA LH60428818) |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2016-10-25 |