| NPI | 1346809332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLIE LEVINE Physician, Owner 360-738-8087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175F00000X Naturopath |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2019-06-12 |