| NPI | 1578015442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY CORMAN Therapist 509-251-3062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60290564) |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2017-01-09 |