| NPI | 1760712400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCIA BROUDE Office Manager 425-258-2407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP00006404) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH00010886) |
| Enumeration Date | 2009-12-31 |
| Last Update Date | 2009-12-31 |