| NPI | 1669036174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE M WICHMANN Owner/Therapist 360-838-3356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2019-04-30 |
| Last Update Date | 2022-12-05 |