| NPI | 1629512066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLAKE THOMPSON Therapist & Clinical Director 206-503-3753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 103T00000X Psychologist | |
| 1041C0700X Social Worker Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 2084A0401X Psychiatry & Neurology Addiction Medicine | |
| 2084P0802X Psychiatry & Neurology Addiction Psychiatry | |
| Enumeration Date | 2016-12-05 |
| Last Update Date | 2022-08-29 |