| NPI | 1407352362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE BARTJA WACHTEL Owner, Sole Member, Agent 206-250-9166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: WA 603534700) |
| Enumeration Date | 2018-03-31 |
| Last Update Date | 2018-03-31 |