| NPI | 1548409642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEPPARD SALUSKY Member 206-285-6915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: WA 1014) |
| Enumeration Date | 2009-02-12 |
| Last Update Date | 2009-02-12 |