| NPI | 1851818231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER CHAIN Owner 206-403-1148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: WA PY60750684) |
| Enumeration Date | 2017-08-25 |
| Last Update Date | 2019-02-01 |