| NPI | 1710673447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY ESKELSEN Owner 360-205-5965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-04-14 |
| Last Update Date | 2024-02-05 |