| NPI | 1730457615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS R TURNER Executive Director 2535-576-5426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WA 27145200) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor Professional | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2011-12-07 |
| Last Update Date | 2011-12-07 |