| NPI | 1750807897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PASHA PLUM GRANT Owner 425-312-2512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2017-08-21 |
| Last Update Date | 2024-12-06 |