| NPI | 1518656560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMERON LEE KEIRNES General Manager 425-626-3458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2023-05-04 |
| Last Update Date | 2023-11-07 |