| NPI | 1821545179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE MAURO Lmfta 206-588-6094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: WA MG60669377) |
| Enumeration Date | 2016-09-03 |
| Last Update Date | 2016-09-03 |