| NPI | 1194387332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLETCHER B TAYLOR Medical Director 253-212-3101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2019-07-08 |
| Last Update Date | 2023-10-04 |