| NPI | 1629252192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL C FREELAND President 360-695-3012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: WA 573) |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2007-12-19 |