| NPI | 1407192552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS HORTON Director 253-474-0633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2012-12-18 |
| Last Update Date | 2012-12-18 |