| NPI | 1174651962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN OMALLEY Owner, Practitioner 425-454-9490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA 17-120800) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2020-08-22 |