| NPI | 1659715969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAELAN PRICE Coach 206-384-4142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: WA 60340917) |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2013-04-18 |