| NPI | 1821411604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN JACOBSON-KASLER Owner 253-228-1490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: WA AP30004784) |
| Enumeration Date | 2014-01-29 |
| Last Update Date | 2014-01-29 |