| NPI | 1568736288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID GRANT RASMUSSEN Psychologist 425-337-7133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA UBI ID 601677869) |
| Enumeration Date | 2012-02-27 |
| Last Update Date | 2012-04-17 |