| NPI | 1942468400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN ANN MILLER Owner 360-679-4551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA LW00004003) |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2008-05-30 |