| NPI | 1144816612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEIKO SANO Owner 360-328-1233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-12-17 |
| Last Update Date | 2020-12-17 |