| NPI | 1215747597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN HOBACK Owner 253-234-4463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-01-09 |
| Last Update Date | 2025-03-27 |