| NPI | 1215253901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN DIONNE NEWELL Partner 509-374-4485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW 7887) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP 1432) |
| 101YM0800X Counselor, Mental Health (Licence: WA LH 60128118) | |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2010-08-11 |