| NPI | 1124293733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHEAL KANE Psychotherapist 206-723-8448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LW0005939) |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2008-04-26 |