| NPI | 1851840979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN DYE Sole Proprietor 360-909-4646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: WA 60342799) |
| Enumeration Date | 2016-09-30 |
| Last Update Date | 2016-09-30 |