| NPI | 1124482435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER J BRUBAKER Owner 206-486-4993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: WA 60301735) |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2016-04-12 |