| NPI | 1053757146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE R TUTTY Owner 206-499-7732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA PY60112043) |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2013-05-15 |