| NPI | 1780922625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA JILL CHRISTENSON Owner/Administrator 206-242-4084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA 603222181) |
| Enumeration Date | 2013-01-28 |
| Last Update Date | 2013-01-28 |