| NPI | 1730650060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNETTE VETTER Executor/Counselor 360-813-7007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2022-03-31 |