| NPI | 1942359807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL LOUIS REICHERT Director Of Medicaid Administration 206-335-6482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA 1981117) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2008-06-12 |