| NPI | 1053702712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW PAUL TIEMEYER President 425-275-2198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA LW60398263) |
| Enumeration Date | 2015-02-16 |
| Last Update Date | 2015-02-16 |