| NPI | 1093920548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER MICHAEL SERLETTI Treatment Director 206-242-4915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: WA 17-12840000) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-22 |