NPI | 1396017703 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN WILLIAM LENNON Clinical Director 425-454-0616 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA 602228527) |
Enumeration Date | 2012-01-31 |
Last Update Date | 2012-01-31 |