| NPI | 1053855833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC E ANDERSON Manager/Therapist 206-508-4576 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA LH60717794) |
| Enumeration Date | 2016-12-13 |
| Last Update Date | 2016-12-13 |