| NPI | 1780915363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE GRACE HUTCHESON Owner 206-841-2126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA AP30004654) |
| Enumeration Date | 2010-01-21 |
| Last Update Date | 2010-04-21 |