| NPI | 1649453960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA GRANT Executive Director 425-258-2407 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: WA 31-0108-03) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA 263) |
| 106H00000X Marriage & Family Therapist (Licence: WA 263) | |
| Enumeration Date | 2007-12-10 |
| Last Update Date | 2012-04-24 |