| NPI | 1598591497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTEO D YEPES Owner/Manager 206-679-0531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2024-09-09 |
| Last Update Date | 2024-09-09 |