| NPI | 1700324431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAVIN R VILANDER President 509-838-0223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH00004385) |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2017-02-01 |