| NPI | 1477278166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MCKENNA RAE ERHARDT Owner 253-590-3458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-10-05 |
| Last Update Date | 2022-10-07 |