NPI | 1417356759 |
---|---|
Entity Type | Organization |
Authorized Contact | KELSEY SCAMPOLI Owner 360-386-5611 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC60435605) |
Enumeration Date | 2014-08-21 |
Last Update Date | 2014-08-21 |