| NPI | 1053865873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNNE IRENE HARTMAN Clinical Psychologist 253-204-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA PY60608968) |
| Enumeration Date | 2016-08-10 |
| Last Update Date | 2022-10-09 |