| NPI | 1689078412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE RENEE WEST Social Worker/Behavioral Health 206-953-6282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60214955) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH60235679) |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2014-10-22 |