| NPI | 1225874282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARIANA FAWN MILMAN Clinician/Member 253-210-3211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2024-07-08 |
| Last Update Date | 2024-07-08 |