| NPI | 1427507722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AZRA GRUDIC Manager/Owner 425-418-9026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA SA 60148730) |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2016-09-27 |