NPI | 1154324929 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID MCCLAY CEO 509-826-6191 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA 602 200 591) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
251S00000X | |
Enumeration Date | 2005-05-24 |
Last Update Date | 2024-01-03 |