| NPI | 1104174465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN LYNCH Administrator 206-905-4667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CDP00004561) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH00010987) |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2015-08-28 |