| NPI | 1043764368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEDDI JOELLE CRIPPS Counselor 509-362-5201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA 604005472) |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2016-08-04 |