NPI | 1013577261 |
---|---|
Entity Type | Organization |
Authorized Contact | RACHEL BRIANNA WOODLAND Credentialing Assistant 253-681-6601 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 101Y00000X Counselor |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
101YM0800X Counselor, Mental Health | |
101YS0200X Counselor, School | |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
Enumeration Date | 2019-06-19 |
Last Update Date | 2019-06-19 |