| NPI | 1487411278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN CLARKE GOODMAN Owner/Counselor 253-234-5464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2024-02-28 |
| Last Update Date | 2024-02-28 |