| NPI | 1275868135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLI JAI MCCABE Owner/Administrator 425-252-1779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA 31075100) |
| Enumeration Date | 2009-10-11 |
| Last Update Date | 2012-08-09 |