| NPI | 1922587328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINA PERRY Counselor 405-919-5089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH60579749) |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2024-06-19 |