NPI | 1275246068 |
---|---|
Entity Type | Organization |
Authorized Contact | ERICA OLIVIA BROWN Owner 253-880-8586 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
261QP2300X Clinic/Center, Primary Care | |
Enumeration Date | 2022-12-27 |
Last Update Date | 2023-03-07 |