| NPI | 1972955029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID JAMES CUDWORTH President 425-381-6895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA LH60014831) |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2016-08-19 |