| NPI | 1093601015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEYNA GRAHAM-HEINE Owner, Member 253-364-6054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-06-16 |
| Last Update Date | 2025-08-31 |