| NPI | 1124816558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN ROCHELE GAYLE Clinical Psychologist 360-701-7281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2025-04-26 |
| Last Update Date | 2025-04-26 |