| NPI | 1750923280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY DUFF Credentialing 206-444-3655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2019-10-16 |
| Last Update Date | 2019-10-16 |