NPI 1457138760

Department of Social and Health Services

Organisation Mental Illness Community Based Residential Treatment Facility Tukwila, WA

Practice location

Address: 12844 Military Rd S, Tukwila, WA 98168-3045
Phone: (253) 260-0644

Authorised official

Name: Daniel Davis
Title: Chief Executive Officer
Phone: (206) 395-0401

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X

Other Community Based Residential Treatment Facility, Mental Illness providers in Washington →

Registry record

NPI: 1457138760
Entity type: Organization
NPI issued: 11 Sep 2023
Record last updated: 8 Aug 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.