| NPI | 1245603877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ALAN PERRY Owner 509-991-5110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH 60262187) |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2015-11-04 |