| NPI | 1568841542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AIDAN M VICKERS Owner/Clinical Consultant 206-830-0299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2015-05-24 |
| Last Update Date | 2021-04-01 |