| NPI | 1366674129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN G RODENBERG Owner 206-367-3058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LF0000863) |
| Enumeration Date | 2009-08-12 |
| Last Update Date | 2009-08-12 |