| NPI | 1124256086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOHAN CHU Clinical Case Mnager 206-774-2445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA RC00056294) |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2009-06-30 |