| NPI | 1942754486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAYWARD COLEMAN Executive Director 206-683-3703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA 276) |
| Enumeration Date | 2016-08-13 |
| Last Update Date | 2019-05-20 |