| NPI | 1609333897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA JESE CZICHAS Owner/Marriage And Family Therapist 360-789-4837 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-02-25 |
| Last Update Date | 2022-01-31 |