| NPI | 1588197628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN A RUSSO Owner Counselor 206-658-3920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH60320548) |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2017-04-05 |