| NPI | 1710494588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH KEALA MARSHALL Governer 206-485-3557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: WA LW60804492) |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2021-01-04 |