| NPI | 1104113729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA KIRCHNER Mental Health Counselor 425-415-6556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA LH00007108) |
| Enumeration Date | 2011-07-03 |
| Last Update Date | 2011-07-03 |