| NPI | 1376152470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSANDRA URIBE Owner/Provider 253-345-4036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2020-07-24 |
| Last Update Date | 2022-10-12 |