| NPI | 1487580940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APRIL ISAMAR CARRILLO Psychiatric Nurse Practitioner 360-436-6442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2026-06-22 |
| Last Update Date | 2026-06-22 |