| NPI | 1164972600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY J DORRELL DAHL Lisenced Mental Health Counselor 206-354-1754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: WA LH00009300) |
| Additional Taxonomies | 251S00000X (Licence: WA LH00009300) |
| 283Q00000X Psychiatric Hospital (Licence: WA LH00009300) | |
| Enumeration Date | 2016-10-07 |
| Last Update Date | 2016-10-07 |