| NPI | 1720470032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA M COLEMAN License Independent Clinical Social 253-752-1860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: WA LW6043939315) |
| Enumeration Date | 2015-02-23 |
| Last Update Date | 2015-02-23 |