NPI | 1205088077 |
---|---|
Doing Business As | CLINIC FOR COUNSELING AND PSYCHOTHERAPY |
Entity Type | Organization |
Authorized Contact | JEFFREY DONOVAN HART Medical Director 253-838-2626 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: WA MD00022597) |
Enumeration Date | 2008-10-10 |
Last Update Date | 2008-11-20 |