| NPI | 1407623663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA WEELBORG Owner/Clinical Director 253-320-5844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-12-07 |
| Last Update Date | 2024-06-14 |