| NPI | 1003791971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANIEZKA JENISSEN Owner 360-984-9018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-08-08 |
| Last Update Date | 2025-08-08 |