| NPI | 1508573205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY LEIGH GREEN Owner 360-946-8936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-11-02 |
| Last Update Date | 2022-11-02 |