NPI | 1649465048 |
---|---|
Entity Type | Organization |
Authorized Contact | LEN ZYLSTRA President 360-425-2819 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW00004277) |
Enumeration Date | 2007-09-09 |
Last Update Date | 2007-10-25 |