| NPI | 1336655174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APRIL E. MULLEN Owner/Operator 360-988-3432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: WA 604156568) |
| Enumeration Date | 2017-12-15 |
| Last Update Date | 2017-12-15 |