| NPI | 1518264407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA FANTONI-SALVADOR Manager 206-257-1061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA PY 60199015) |
| Enumeration Date | 2011-02-11 |
| Last Update Date | 2011-02-11 |