| NPI | 1821585852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC GOMEZ Owner 206-852-7363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NM 0188121) |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2018-04-16 |