| NPI | 1164827473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMELA ANITA MARTIN Mental Health Counselor Associate 360-551-0595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: WA MC60396197) |
| Enumeration Date | 2014-10-29 |
| Last Update Date | 2014-10-29 |