| NPI | 1487029708 |
|---|---|
| Former Legal Business Name | CTC COUNSELING SERVICES LLC |
| Entity Type | Organization |
| Authorized Contact | JESSICA CAROL DARK Director, Owner 206-957-0721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: WA 17 113800) |
| Enumeration Date | 2015-12-11 |
| Last Update Date | 2022-08-12 |