NPI | 1598269110 |
---|---|
Doing Business As | AGNES KWONG |
Doing Business As | INTERCONNECTIONS HEALING CENTER |
Entity Type | Organization |
Authorized Contact | AGNES KWONG Owner, Director 206-659-5945 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: WA PY60126753) |
1041C0700X Social Worker, Clinical (Licence: WA LW60686077) | |
Enumeration Date | 2018-03-20 |
Last Update Date | 2022-11-08 |