| NPI | 1558879023 |
|---|---|
| Doing Business As | CARRIE POPE, MSW, LICSW |
| Entity Type | Organization |
| Authorized Contact | CARRIE MELISSA POPE Owner 425-345-0758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: WA LW60640903) |
| Additional Taxonomies | 251S00000X (Licence: WA LW60640903) |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2024-10-15 |