| NPI | 1497489876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL DE LA TORRE Credentialing Specialist 206-745-6413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-07-12 |
| Last Update Date | 2026-05-08 |