| NPI | 1578963732 |
|---|---|
| Doing Business As | INDIGO MENTAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | ISMAEL E GERENA Member 425-591-2963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X (Licence: WA 603393215) |
| Enumeration Date | 2014-08-25 |
| Last Update Date | 2014-08-25 |