NPI | 1063071645 |
---|---|
Entity Type | Organization |
Authorized Contact | JAI KIERON RENE RUSSELL Clinical Social Worker 206-930-8970 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2019-06-07 |
Last Update Date | 2021-12-08 |