| NPI | 1851165252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVYANNE JELLIBEAN VAN DER PEET Licensed Mental Health Therapist 425-298-3238 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-11-07 |
| Last Update Date | 2023-11-07 |