| NPI | 1467016444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARI CASE HEISTAND Owner/Psychiatrist 360-385-9818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2021-04-29 |