| NPI | 1043873722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN MEDINA Compliance Manager 425-831-5425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2022-07-25 |