| NPI | 1093454423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRY DUANE KOZUKI COO 206-724-1722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 103TC0700X Psychologist Clinical | |
| 104100000X Social Worker | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| Enumeration Date | 2022-06-02 |
| Last Update Date | 2024-12-04 |