| NPI | 1366102881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIGNAPANA KOMANAPALLI Licensed Mental Health Counselor 206-657-4814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-12-23 |
| Last Update Date | 2022-04-05 |