| NPI | 1598450371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA GIBB Owner/Psychotherapist 360-499-2763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2023-04-07 |
| Last Update Date | 2023-04-07 |