| NPI | 1730645896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE LEE STAR DE ANDA CEO 425-636-3133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-02-13 |
| Last Update Date | 2019-02-13 |