| NPI | 1740642875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEE J MCGONIGLE Physician 206-528-1930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: WA 00008976) |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2016-03-28 |