| NPI | 1285034439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE KINN Owner 408-641-5466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: WA PY60112770) |
| Enumeration Date | 2014-08-25 |
| Last Update Date | 2014-08-25 |