| NPI | 1144772898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER MARIE FORD CEO 206-960-9833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: WA LW 60664395) |
| Enumeration Date | 2016-10-28 |
| Last Update Date | 2016-10-28 |