| NPI | 1619338910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYVONNE BERRING Licensed Clinical Social Worker 253-988-5211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA LW60246847) |
| Enumeration Date | 2016-03-14 |
| Last Update Date | 2016-03-14 |