| NPI | 1194217687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHUREE WAGGONER President 206-465-2981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60129959) |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2018-05-31 |