| NPI | 1194728105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MARVIN JOHNSON CEO 206-933-7225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA 048) |
| 251B00000X Case Management | |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
| 323P00000X Psychiatric Residential Treatment Facility | |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2020-02-24 |