| NPI | 1407870108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW BUTTE Executive Director 360-699-2244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: WA 217) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA 217) |
| 1041C0700X Social Worker, Clinical (Licence: WA 217) | |
| 106H00000X Marriage & Family Therapist (Licence: WA 217) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA 217) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: WA 217) | |
| 251B00000X Case Management (Licence: WA 217) | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: WA 217) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2022-07-01 |