| NPI | 1760656185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES M FAUST Owner/Practitioner 360-754-4712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH00009712) |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2024-01-25 |