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 |