| NPI | 1992998355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA A NEAGLE Program Manager 253-572-3214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA 27101700) |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2007-08-20 |