| NPI | 1699225888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN R DOBBECK Owner 206-661-5852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA PY00003409) |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2016-10-11 |