| NPI | 1477192029 |
|---|---|
| Doing Business As | LUCID LIVING |
| Entity Type | Organization |
| Authorized Contact | GREGORY D JONES Owner 360-539-8899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2019-12-31 |
| Last Update Date | 2023-03-20 |