| NPI | 1598538712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL TAVERNE Chief New Program Development Offic 425-531-1528 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2023-10-31 |
| Last Update Date | 2023-12-27 |