| NPI | 1932307683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH ANN CANTER Manager 360-567-4595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA LW00009073) |
| Enumeration Date | 2007-07-04 |
| Last Update Date | 2008-12-26 |