| NPI | 1407388283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE R DIPZINSKI Owner 360-499-4535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW 60542552) |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2017-03-30 |