| NPI | 1235596842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATT CROCKETT President 425-451-1134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60617943) |
| Enumeration Date | 2016-01-27 |
| Last Update Date | 2016-01-27 |