| NPI | 1962774455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEANNE TAYLOR Authorized Official 206-296-1522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA 270) |
| Enumeration Date | 2012-01-31 |
| Last Update Date | 2012-01-31 |