| NPI | 1295145753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARLEN ROSE FRAZIER Sole Proprietor 206-226-6020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: WA LH 00004908) |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2014-05-05 |