| NPI | 1144377094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA LOUISE DE MASO Mental Health Therapist 206-987-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities (Licence: WA LH00007347) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2020-08-22 |