| NPI | 1225879836 |
|---|---|
| Doing Business As | MYSTIQUE HEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | LUIS ARMANDO LEMUS CEO 206-422-9443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-06-06 |
| Last Update Date | 2024-06-06 |