| NPI | 1588958359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID STANZAK Member 509-747-7147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW00006436) |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2011-06-08 |