| NPI | 1033488598 |
|---|---|
| Other Name | LIGHT COUNSELING CENTER |
| Entity Type | Organization |
| Authorized Contact | JENNIFER HORTENSE FERGUSON CEO 253-503-0236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA 602933664) |
| Enumeration Date | 2011-12-29 |
| Last Update Date | 2011-12-29 |