| NPI | 1538336235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT ALAN GLOVER Owner 425-453-6666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA lf00001708) |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2008-05-12 |