| NPI | 1164574497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER CHARLES BENDER Direct Owner 360-699-1150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH00003892) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2020-08-22 |