| NPI | 1275358202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROCHELLE CALINA ANTOINETTE RICKMAN Psychiatric Provider 360-982-8140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-11-15 |
| Last Update Date | 2024-11-15 |