| NPI | 1588105506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA BROADWATER Owner/Therapist 425-351-1059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA LH60620333) |
| Enumeration Date | 2017-03-09 |
| Last Update Date | 2017-03-09 |