| NPI | 1144732751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN CUNNINGHAM BROWN Owner 360-284-7020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY0001841) |
| Enumeration Date | 2017-11-05 |
| Last Update Date | 2022-07-21 |