| NPI | 1326411869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE BUFORD Counselor 206-407-3333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC60502604) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP00001646) |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2016-11-16 |