| NPI | 1861224875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATRICE LONDOW Owner 206-617-5690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2024-08-19 |
| Last Update Date | 2024-08-19 |