| NPI | 1881142867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONDALE FELIX Owner 360-888-3776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH60489725) |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2016-09-19 |