| NPI | 1124478953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM EDWARD LUMSDEN Certified Counselor 253-863-0213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA 6028023320010001) |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2016-06-13 |