| NPI | 1467905695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYED JAMAL MUSTAFA Medical Director 425-806-5021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA 200385) |
| Enumeration Date | 2016-07-23 |
| Last Update Date | 2016-07-23 |