| NPI | 1588197628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN RUSSO Owner 425-361-7987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH60320548) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2025-03-10 |