| NPI | 1235264888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEYANI R. WHITMAN President 360-943-7726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH00005499) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2007-09-13 |