| NPI | 1699153767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARINA HORSTING Member 206-696-1565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: WA LH60102069) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: WA LH60102069) |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2015-05-11 |