| NPI | 1780856906 |
|---|---|
| Doing Business As | ALESIA BLACK |
| Entity Type | Organization |
| Authorized Contact | ALESIA A BLACK Owner 253-300-0394 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2021-12-21 |