| NPI | 1124594510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY DRUIN Provider 206-486-0295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2022-05-22 |