| NPI | 1912327842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES COOPER-NURSE Owner 509-280-1855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60034520) |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2014-04-17 |