| NPI | 1093252348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN G PRICE Owner 360-280-1841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: UT 9379299-6004) |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2017-01-25 |