| NPI | 1801406624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY LEINANI BOLAN Owner And Provider 206-424-8098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2020-08-06 |
| Last Update Date | 2020-08-06 |