| NPI | 1245002849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADDIE ELIZABETH Therapist/COO 360-265-0578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-10-26 |
| Last Update Date | 2023-10-26 |