| NPI | 1679289227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA LAROCCO-COCKBURN Owner/Employer 206-617-2345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2023-01-26 |
| Last Update Date | 2023-01-26 |