| NPI | 1396510970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDIA JOHNSON Owner/Administrator 253-301-3865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-11-23 |
| Last Update Date | 2024-07-30 |