| NPI | 1073806576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN DESROCHES President 206-323-6114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: WA 1459) |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2016-11-29 |