| NPI | 1306004775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ART TOLENTINO Clinical Director 360-799-5782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: WA LF00002685) |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: WA LF00002685) | |
| Enumeration Date | 2008-06-01 |
| Last Update Date | 2024-03-25 |