| NPI | 1154538627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT S SHOPE President 360-352-1052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LHOOOO3919) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2012-05-17 |