| NPI | 1437536281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANNETTE MYERS Owner/Mental Health Professional 360-314-4759 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA 603007688) |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2015-06-08 |