| NPI | 1265670244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LELAND SHIELDS Owner 206-568-0062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH00010200) |
| Enumeration Date | 2009-01-28 |
| Last Update Date | 2009-01-28 |