| NPI | 1912595836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANAE ARMSTRONG Owner 360-350-5516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2021-01-06 |
| Last Update Date | 2022-12-07 |