| NPI | 1629472113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE EASTMAN Co Owner 360-873-8662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA 603168846) |
| Enumeration Date | 2014-10-13 |
| Last Update Date | 2014-10-13 |