| NPI | 1508237702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA B. O'ROURKE Executive Director 253-262-3409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH60579014) |
| Enumeration Date | 2015-10-14 |
| Last Update Date | 2016-01-26 |