| NPI | 1235577040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONJA SIVESIND Owner 206-933-7891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA AC60069722) |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2013-06-13 |