| NPI | 1295947687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ESTELLE President 509-455-8886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY2057) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WA PY1950) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP30005127) | |
| Enumeration Date | 2007-05-05 |
| Last Update Date | 2020-08-22 |