| NPI | 1184389983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA MAURER A RN P 425-908-0123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-11-05 |
| Last Update Date | 2025-02-04 |