| NPI | 1194602623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRSTEN SKALSTAD Owner 509-795-1884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2025-08-18 |
| Last Update Date | 2025-08-18 |