| NPI | 1508609785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMRA KATHLEEN JOHNSON DILLON Psychiatric Np/Owner 206-457-6672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-06-17 |
| Last Update Date | 2024-06-17 |