NPI | 1679163166 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSHUA DAVID GATES Owner/Therapist 253-848-3249 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2021-01-19 |
Last Update Date | 2024-02-09 |