| NPI | 1467098145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLY R WILLIS Exectuive Director 360-754-7629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 172V00000X Community Health Worker | |
| 174H00000X Health Educator | |
| 174N00000X Lactation Consultant, Non-RN | |
| 225C00000X Rehabilitation Counselor | |
| 251B00000X Case Management | |
| 251V00000X Voluntary or Charitable | |
| Enumeration Date | 2019-11-18 |
| Last Update Date | 2021-02-08 |