NPI | 1194079301 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER L SEVERNS Psychologist 253-888-0550 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA PY00002989) |
Enumeration Date | 2012-11-09 |
Last Update Date | 2012-11-27 |