NPI | 1083404271 |
---|---|
Entity Type | Organization |
Authorized Contact | AMORY BALLANTINE Owner/Therapist 360-518-4770 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2025-05-09 |
Last Update Date | 2025-05-09 |