NPI | 1053701854 |
---|---|
Entity Type | Organization |
Authorized Contact | NATHAN A WELCH Director 360-296-3040 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60344737) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH60258150) |
Enumeration Date | 2015-01-31 |
Last Update Date | 2015-01-31 |