| NPI | 1750758215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DYNA DIAZ Office Manager 206-826-3040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60576837) |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2015-08-31 |