| NPI | 1548849029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACI TOLLIVER Executive Director; Therapist 253-249-5991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101Y00000X Counselor |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2021-04-03 |
| Last Update Date | 2021-04-03 |