| NPI | 1750831756 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | YARDANA DONALDSON Director 425-591-6729  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OR ABA-B-10166920)  | 
| Enumeration Date | 2016-10-13 | 
| Last Update Date | 2016-11-10 |