| NPI | 1447638853 |
|---|---|
| Doing Business As | ISLAND BEHAVIORAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | PAULA LOUISE CASEY Owner 360-682-5016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF60125307) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH60428818) |
| 103T00000X Psychologist (Licence: WA PY60620631) | |
| 1041C0700X Social Worker, Clinical (Licence: WA LW60395422) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA OP60248624) | |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2018-07-31 |