NPI | 1639067580 |
---|---|
Entity Type | Organization |
Authorized Contact | CASSIE ROUSE Office Manager 360-451-3405 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2025-06-26 |
Last Update Date | 2025-06-26 |