| NPI | 1982929469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW L FARMER Owner 253-273-7781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA 27148500) |
| Enumeration Date | 2010-03-29 |
| Last Update Date | 2010-03-29 |