| NPI | 1255628210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHYLLIS ROGERS Director 425-822-3252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH00007342) |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2011-06-28 |