| NPI | 1538858600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RASELINE MARTIN Administrator 253-330-9604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2023-05-04 |
| Last Update Date | 2023-06-20 |