| NPI | 1134505407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYDNEY LEE KOLLAR Mental Health Counselor Associate 360-623-5008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2015-08-10 |