| NPI | 1497114342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA HARDEBECK Licensed Clinical Psychologist 253-269-6063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA PY2596) |
| Enumeration Date | 2016-02-22 |
| Last Update Date | 2019-04-09 |