| NPI | 1336695824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUG JERRY BARTHOLOMEW President 425-635-0188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: WA LH 00003582) |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2016-08-25 |