| NPI | 1336651470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY DE LA TORRE Owner 360-619-2275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2017-10-30 |
| Last Update Date | 2017-10-30 |