| NPI | 1194069427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACEY GROSCOST CFO 206-766-7015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: WA 160) |
| Additional Taxonomies | 251S00000X (Licence: WA 160) |
| 261QM0850X Clinic/Center, Adult Mental Health (Licence: WA 160) | |
| Enumeration Date | 2012-11-27 |
| Last Update Date | 2012-11-27 |