| NPI | 1962883538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA RUBINSTEIN Business Owner 541-203-3525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA LF60529888) |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2015-06-09 |