| NPI | 1952873929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD RAY OHNHAUS Owner Member 360-813-1247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2019-01-01 |
| Last Update Date | 2019-01-01 |