| NPI | 1366885469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN E STINE Owner 206-841-7827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: WA 60210889) |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2013-04-09 |