| NPI | 1407632334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TESSA RENEE VANDERHORN Incorporator/Organizer 509-306-1102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-09-06 |
| Last Update Date | 2023-09-06 |