NPI | 1629855549 |
---|---|
Doing Business As | BALANCE PSYCHIATRIC CLINIC |
Entity Type | Organization |
Authorized Contact | ASHLEY MABRY CEO 360-358-1445 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2023-09-13 |
Last Update Date | 2023-12-08 |