NPI | 1316060197 |
---|---|
Doing Business As | LUMMI CARE MENTAL HEALTH SERVICES |
Entity Type | Organization |
Authorized Contact | TAMI E VISSER Medicaid Biller 360-384-2330 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LW00005176) |
Enumeration Date | 2007-04-09 |
Last Update Date | 2020-08-22 |