| NPI | 1679349013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA HAKE Owner 206-204-9794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-11-28 |
| Last Update Date | 2023-11-28 |