| NPI | 1114373529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORALISSA R GRIFFIN Owner 425-478-7670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60484698) |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2016-05-05 |