| NPI | 1730682204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE PERHAM Therapist 206-973-6152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: WA 60765129) |
| Enumeration Date | 2018-03-12 |
| Last Update Date | 2018-03-23 |