| NPI | 1780854356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARRY FAY Office Manager 425-452-8036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2008-03-12 |