| NPI | 1124423041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA BURNS ARTHERHOLT Member/Owner 206-412-0142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: WA PY00003648) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2022-12-16 |