| NPI | 1447555644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLI J MCCABE Owner 425-252-4656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA 31114400) |
| Enumeration Date | 2011-01-19 |
| Last Update Date | 2011-01-19 |