| NPI | 1326582412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KOREL PONTI-FOSS President 360-259-0864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T1102) |
| Enumeration Date | 2016-12-08 |
| Last Update Date | 2016-12-08 |