| NPI | 1154714533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD TOBIN SIROTA Treatment Director 206-459-2242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA LW60223272) |
| Enumeration Date | 2015-03-10 |
| Last Update Date | 2015-03-10 |