| NPI | 1083303010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FOREST JACOBSON Owner 253-377-5102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-05-04 |
| Last Update Date | 2023-05-04 |