NPI | 1245477017 |
---|---|
Entity Type | Organization |
Authorized Contact | PHILLIP A COHEN President/Owner 206-526-5550 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: WA MD 00013177) |
Enumeration Date | 2009-01-14 |
Last Update Date | 2023-03-07 |