| NPI | 1154721710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOLLY LYNN BOVE Ccunselor 509-951-2927 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH 60487878) |
| Enumeration Date | 2014-09-01 |
| Last Update Date | 2014-09-01 |