| NPI | 1164826616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAPHTALI CARLSON Director/Counselor 206-372-4325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA LH60754374) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA MC60625251) |
| 101YM0800X Counselor, Mental Health (Licence: WA LH60754374) | |
| 251B00000X Case Management (Licence: WA LH60754374) | |
| 251S00000X Community/Behavioral Health (Licence: WA LH60754374) | |
| Enumeration Date | 2014-10-13 |
| Last Update Date | 2017-11-27 |