| NPI | 1730964040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MCNEIL Licensed Clinical Social Worker 360-860-5377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-08-28 |
| Last Update Date | 2025-05-19 |