| NPI | 1851654651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALOSHNI KEELING Billing Manager 206-323-0930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA CP00003627) |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2020-08-20 |