| NPI | 1700551447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA ANTOINETTE FULLER CEO 206-578-1207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 251B00000X Case Management | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2021-08-13 |
| Last Update Date | 2021-08-13 |