| NPI | 1396915385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN D JAEGER President 425-885-3330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: WA MD00046421) |
| Enumeration Date | 2008-03-05 |
| Last Update Date | 2008-03-05 |