| NPI | 1750915021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE K CICERO President 253-831-3852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-02-26 |
| Last Update Date | 2020-02-26 |