| NPI | 1336657089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY KREUTZ Owner / Therapist 509-948-8373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA Lw60781488) |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2018-01-16 |