| NPI | 1538852058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT CHARLES KELLER Owner 360-480-0027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2023-05-31 |
| Last Update Date | 2023-05-31 |