| NPI | 1811052632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE K. SIMCHUK Office Manager 509-458-5889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH00006082) |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2020-08-22 |