| NPI | 1235575861 |
|---|---|
| Doing Business As | PRO SPORTS CLUB |
| Entity Type | Organization |
| Authorized Contact | DEBBIE BECKER Sr Director Of Accounting 425-869-4746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA 600541508) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WA 600541508) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA 600541508) | |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2017-08-07 |