| NPI | 1447480074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANNE CARTER Licensed Mental Health Counselor 253-651-3752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: WA LH60095901) |
| Enumeration Date | 2009-07-16 |
| Last Update Date | 2012-08-30 |