| NPI | 1154410876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE STRONG Executive Director 360-385-0321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP2701X Psychologist, Group Psychotherapy (Licence: WA 602602557) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA 602602557) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2020-08-22 |