NPI | 1164296828 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY ROSE DEWALD Owner/Therapist 360-990-3505 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2023-11-13 |
Last Update Date | 2023-11-13 |