| NPI | 1881320349 |
|---|---|
| Former Legal Business Name | CANYON LAKES FAMILY COUNSELING |
| Entity Type | Organization |
| Authorized Contact | LYNN OWENS Owner 509-795-1944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-07-27 |
| Last Update Date | 2022-07-27 |