| NPI | 1548954498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE ROOT Owner 253-320-9892 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-06-05 |
| Last Update Date | 2023-06-05 |