| NPI | 1295372670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY BRACHMAN Child And Family Therapist 360-605-2629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-12-04 |
| Last Update Date | 2019-12-04 |