| NPI | 1023521747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM DEHEN Psychiatric Nurse Practioner 360-282-6650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA AP60095630) |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2017-11-21 |