| NPI | 1306587134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRIAN HARRISON Owner 253-249-8931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2022-04-05 |