| NPI | 1609168889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLETTE ANNETTE GIOVANNIELLO Marriage And Family Therapist 360-703-7171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WI LF 603008337) |
| Enumeration Date | 2011-05-06 |
| Last Update Date | 2011-06-09 |