| NPI | 1992161350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER A CHANDLER Member Manager 1425-289-9589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH 00011043) |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2016-01-14 |