| NPI | 1891187373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN K HALL Owner 425-359-1167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA LW60492025) |
| Enumeration Date | 2015-02-20 |
| Last Update Date | 2015-02-20 |