| NPI | 1124257795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT DEEBLE Owner 562-274-5889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60090293) |
| Enumeration Date | 2009-07-04 |
| Last Update Date | 2009-07-04 |