| NPI | 1801049176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM MICHAEL ROGERS Psychologist/Owner 253-444-8990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: WA PY00003741) |
| Enumeration Date | 2008-10-29 |
| Last Update Date | 2022-07-12 |