| NPI | 1508467564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN MARTIN Partner 509-944-0545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 103TC0700X Psychologist, Clinical | |
| Enumeration Date | 2020-11-05 |
| Last Update Date | 2020-11-05 |