NPI | 1124757414 |
---|---|
Doing Business As | EDIFY MENTAL HEALTH |
Entity Type | Organization |
Authorized Contact | DANIEL RICHARD ROBERSON Clinical Director 360-230-8482 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101Y00000X Counselor |
1041C0700X Social Worker, Clinical | |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2022-06-10 |
Last Update Date | 2024-03-20 |