| NPI | 1952536427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT VERN WHEELER President 360-696-3307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA 06035300) |
| Enumeration Date | 2009-05-27 |
| Last Update Date | 2009-05-27 |