NPI | 1982246500 |
---|---|
Entity Type | Organization |
Authorized Contact | SHANNON NICOLE BUDELMAN Owner 206-706-2932 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2019-10-15 |
Last Update Date | 2020-12-22 |