| NPI | 1619091808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN A. MADSEN Director 509-663-2880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH00006763) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2020-08-22 |