| NPI | 1083987309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE MARIE GRAY Manager 509-575-0757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WA LH00004596) |
| Enumeration Date | 2012-02-16 |
| Last Update Date | 2019-08-16 |