| NPI | 1366210205 |
|---|---|
| Doing Business As | JEREMIAH 2911 COUNSELING SERVICES LLC |
| Entity Type | Organization |
| Authorized Contact | GRADY SMITH Np/Owner 206-291-5998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-12-19 |
| Last Update Date | 2023-12-19 |