| Organization Name: | CENTER FOR CHILD AND FAMILY THERAPY PC INC |
| NPI Number: | 1013060870 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID B WALKER (OWNER) |
| Mailing Address: | 7500 Old Military Rd Ne Ste 103 Bremerton |
| State: | WA US |
| Postal Code: | 983113242 |
| Phone Number: | 3606989258 |
| Fax Number: | 3606989296 |
| NPI Enumeration Date: | 01/18/2007 |
| NPI Last Update Date: | 06/17/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LH00006918 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |