| NPI | 1902901002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA SMYTH Co Owner 509-525-8844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA 36 1189 00) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW00004569) |
| 1041C0700X Social Worker, Clinical (Licence: WA LW00008005) | |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2020-08-22 |