| NPI | 1710333612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARISSA WALSON Owner 206-747-9604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH 60488004) |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2016-05-10 |