| NPI | 1174389530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT EDWARDS Owner 206-909-1963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-02-23 |
| Last Update Date | 2024-02-23 |