| NPI | 1811687189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINA CALLENDER Owner/ Provider 360-999-8467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2023-05-10 |
| Last Update Date | 2023-05-21 |