| NPI | 1134254923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | POLLY CARLSON Owner 509-624-1588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH00005219) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2020-08-22 |