| NPI | 1821524422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS R NEAL CEO 360-943-8810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WA 162700) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA 162700) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WA 162700) | |
| 101YM0800X Counselor Mental Health (Licence: WA 162700) | |
| 251S00000X Community/Behavioral Health | |
| 363LF0000X Nurse Practitioner Family | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| 363LP2300X Nurse Practitioner Primary Care | |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2021-03-03 |