| NPI | 1659873230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEA LIN Licensed Mental Health Professional 206-383-1228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: WA LH60372698) |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2018-02-28 |