| NPI | 1851760185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APRIL KAY THOVSON Owner/Counselor 360-748-7710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA LH 0006830) |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2015-09-16 |