| NPI | 1306715701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN P MALOY Owner/Administrator 206-369-1211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-11-03 |
| Last Update Date | 2025-11-03 |