| NPI | 1851686919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN HORTON Owner 206-778-7902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: WA LH60159912) |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2011-06-16 |