| NPI | 1528686821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSELI A ALVES-DUNKERSON Director 360-870-2403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2020-07-13 |