NPI | 1558873729 |
---|---|
Doing Business As | BLUE LEAF MENTAL WELLNESS CENTER |
Doing Business As | BLUE LEAF COUNSELING |
Entity Type | Organization |
Authorized Contact | TARA Z MAY Owner 360-904-1008 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: WA PY60230506) |
Enumeration Date | 2017-10-28 |
Last Update Date | 2018-06-16 |