| NPI | 1053735472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH C LANDRUM Therapist 206-383-4148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA Lh60433967) |
| Enumeration Date | 2014-02-05 |
| Last Update Date | 2014-02-05 |