| NPI | 1134411465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY MCLUSKIE Owner 509-499-9266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW 60039503) |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2011-05-10 |