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 |