BLACK SPACE LLC

BOTHELL, WA
NPI1427860022
Entity TypeOrganization
Authorized ContactTAMERA GITTENS
Lmhc
929-445-7277
Organization Subpart ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2025-01-22
Last Update Date2025-01-22
Business Address
BLACK SPACE LLC
22722 29TH DRIVE SOUTHEAST SUITE 100
BOTHELL, WA 98021
Phone number: 929-445-7277
Mailing Address
BLACK SPACE LLC
300 LENORA ST # 1348
SEATTLE, WA 98121-2411
Phone number: 929-445-7277
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