| NPI | 1235649807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE JONES Owner/Manager 360-232-3906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2017-10-09 |
| Last Update Date | 2024-02-14 |