| NPI | 1790372043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER JEANINE VAN MILL Counselor 360-970-9878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2020-12-21 |
| Last Update Date | 2020-12-21 |