| NPI | 1972017747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN LARKIN PACKWOOD Owner 509-951-2210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60231558) |
| Enumeration Date | 2017-11-30 |
| Last Update Date | 2024-06-14 |