| NPI | 1205378304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LONNIE G KAMAN Owner 206-719-5658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA 60143349) |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2016-11-07 |