| NPI | 1447551221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAN YULY Director Of Operations And Finance 206-329-2050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: WA 147) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: WA 147) |
| Enumeration Date | 2010-11-09 |
| Last Update Date | 2012-11-19 |