| NPI | 1013188994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLEN P. MERRIWETHER Owner 425-641-1999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA 602174845) |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2008-03-18 |