| NPI | 1861891152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPH TIGERT Mental Health Counselor 240-305-7790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC60252226) |
| Enumeration Date | 2014-08-22 |
| Last Update Date | 2014-08-22 |