| NPI | 1558735019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANELLE CHANDLER Owner 507-323-2010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC60475521) |
| Enumeration Date | 2015-11-20 |
| Last Update Date | 2015-11-20 |