| NPI | 1467029512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY ANN TABOR Licsw, Business Owner 206-403-8527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-06-08 |
| Last Update Date | 2021-06-29 |