| NPI | 1891167862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANYA MARIE LARSON Owner/Therapist 253-686-9421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA MC60489337) |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2016-06-17 |