| NPI | 1801941604 |
|---|---|
| Doing Business As | LOURDES COUNSELING CENTER ADOLESCENT DAY PROGRAM |
| Entity Type | Organization |
| Authorized Contact | JOHN SERLE President & CEO 509-543-2483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: WA 113003371) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2020-08-22 |