| NPI | 1346497807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN POTTER Billing Manager 206-323-0930 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: WA 032) |
| Additional Taxonomies | 261QM2800X Clinic/Center, Methadone Clinic (Licence: WA 17015800) |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2023-10-04 |