| NPI | 1457639783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTO RAUL OELSNER Owner 206-441-3667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: WA LH601637728) |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2011-08-03 |