| NPI | 1376987420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATRINA L HIGGINS Clinical Psychologist 253-230-7919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: WA 60116078) |
| Enumeration Date | 2013-04-19 |
| Last Update Date | 2013-04-19 |