| NPI | 1154969384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHIL ALLEN PHILLIPS Owner/Therapist 360-991-0070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2019-12-18 |
| Last Update Date | 2019-12-18 |