| NPI | 1659411874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP GENE ANDERSON Director 206-772-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH00004610) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2020-08-22 |