| NPI | 1932658556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY FALLIHEE Owner 360-631-3742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA 60655809) |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2016-09-23 |