| NPI | 1467293142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA JOHNSON-DAS Owner 206-330-3945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2024-06-05 |
| Last Update Date | 2024-06-26 |