| NPI | 1427548114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA JOHNSON Mental Health Clinician 509-343-5069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA CG60683072) |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2018-05-17 |