| NPI | 1205439726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN ST. JACQUES Psychotherapist 206-590-1393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-11-18 |
| Last Update Date | 2023-09-06 |