| NPI | 1861850604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON HACKETT Owner 206-329-5255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA PY60604139) |
| Enumeration Date | 2016-02-08 |
| Last Update Date | 2024-03-19 |