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 |