| NPI | 1144367350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA L FREDERICK Director Of Youth & Family Services 425-392-6367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA 17040901) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA 153) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-08-22 |