| NPI | 1326637778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE MARIE DILTZ Owner/Therapist 360-582-7908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2021-01-11 |
| Last Update Date | 2021-01-11 |