| NPI | 1184405052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASEY MCGINNIS Owner 425-202-5439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2023-10-09 |
| Last Update Date | 2024-09-28 |