| NPI | 1356708135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE MELANIE KOCH CEO 253-269-0224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC60502604) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP00001646) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2016-01-25 |
| Last Update Date | 2019-05-28 |