| NPI | 1811927106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN PARDO Chief Legal Officer 206-399-1493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA 028385-06) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CA 2462) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2024-03-04 |