| NPI | 1568856433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBYNN FREY Therapist 360-801-8038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA MG60505824) |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2015-03-27 |