| NPI | 1396144150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLENE DIANE TAKEUCHI Owner / Family Syst EMS Therapist 425-876-2773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: WA LH60329296W) |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: WA MG60137691) |
| Enumeration Date | 2014-08-18 |
| Last Update Date | 2014-08-18 |