NPI | 1730538422 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY JANE POULSON Owner/Manager 509-430-8626 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH00005937) |
Enumeration Date | 2016-06-03 |
Last Update Date | 2022-07-15 |