| NPI | 1801938204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | M SUSAN HASKINS President 360-676-1513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA 020703LH00004072) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2020-08-22 |