| NPI | 1205156338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANA BOSCHMA Is Director 206-461-4880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA 037) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA 037) | |
| 104100000X Social Worker (Licence: WA 037) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: WA 037) | |
| Enumeration Date | 2010-06-11 |
| Last Update Date | 2024-06-05 |