| NPI | 1124649397 |
|---|---|
| Doing Business As | GREENLAKE WELLNESS GROUP |
| Entity Type | Organization |
| Authorized Contact | JULIA JENKINS Founder 206-707-2632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2020-04-29 |