| NPI | 1962930446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA ADAMS Owner 509-219-0030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LW60512888) |
| Enumeration Date | 2017-05-30 |
| Last Update Date | 2017-05-30 |