| NPI | 1275007627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER KING Owner/Clinical Supervisor 253-431-9739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2019-01-18 |
| Last Update Date | 2019-01-18 |