| NPI | 1295583946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIA LAYTON Np/Provider 425-905-1834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-05-08 |
| Last Update Date | 2024-05-08 |