| NPI | 1689344699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORGAN NOBLE Registered Agent 509-768-2249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2021-09-20 |
| Last Update Date | 2021-09-28 |