| NPI | 1508377805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA EVERLY Owner/Provider 206-518-1340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60307682) |
| Enumeration Date | 2017-10-13 |
| Last Update Date | 2024-08-02 |