| NPI | 1447590757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS H. STOLZ HUSTON STOLZ Clinic Director/Counselor 509-327-9831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: WA 32025500) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: WA 32025500) |
| Enumeration Date | 2013-02-22 |
| Last Update Date | 2013-02-22 |