| NPI | 1104930130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN PARDO Chief Legal Officer 206-399-1493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 1041C0700X Social Worker Clinical | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2024-03-01 |