| NPI | 1396216974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATREACE KATRELL MOORE Owner/Clinical Supervisor 253-244-1410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2018-12-08 |
| Last Update Date | 2023-05-09 |