| NPI | 1881045409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDI PIRONE Program Manager 425-286-1037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2016-06-24 |