| NPI | 1114535853 |
|---|---|
| Doing Business As | BEHIND THE MASK THERAPY |
| Entity Type | Organization |
| Authorized Contact | LINDSAY HANSEN Therapist 253-279-0032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2020-07-20 |