| NPI | 1710641261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNA CASTANEDA Operations Manager 360-608-2285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 103T00000X Psychologist | |
| 103TC0700X Psychologist Clinical | |
| 1041C0700X Social Worker Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 171400000X | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2021-10-29 |
| Last Update Date | 2021-10-29 |