| NPI | 1326409194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUE A. CLOSSER Owner 425-212-4211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA 600231010) |
| Enumeration Date | 2016-03-08 |
| Last Update Date | 2022-09-01 |