| NPI | 1740783398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICK A KIENHOLZ Executive Director 509-326-8875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA CL60164738) |
| Enumeration Date | 2018-03-09 |
| Last Update Date | 2018-03-09 |