| NPI | 1336385533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OWEN E. CLARK President 206-523-6798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: WA 12909) |
| Enumeration Date | 2008-12-18 |
| Last Update Date | 2008-12-18 |