| NPI | 1972824498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVA JANE TAPPER President 360-379-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: WA AP30004411) |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2010-06-18 |