| NPI | 1275656332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD A WILSON Owner 509-535-2048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH00007082) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2020-08-22 |