| NPI | 1487531661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER PETROZZI Administrator 360-218-7970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine |
| Enumeration Date | 2025-08-19 |
| Last Update Date | 2025-08-19 |