| NPI | 1528713591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENAJUADE S STEVENSON Therapist 206-939-1440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2022-02-17 |
| Last Update Date | 2022-03-07 |