| NPI | 1144616848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA ANNA BOLEY PSYD Psychotherapist 253-225-2275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA LH60429375) |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2015-04-09 |