| NPI | 1518350925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH D. CHOVIL Manager 360-421-4799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA SW00006717) |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2015-03-09 |