| NPI | 1992020044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA A BAYER Clinical Supervisor 425-827-2401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA 17149600) |
| Enumeration Date | 2010-04-01 |
| Last Update Date | 2010-04-01 |