| NPI | 1942970330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNA CASTANEDA Operations Manager 360-608-2285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103T00000X Psychologist |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 101Y00000X Counselor | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health | |
| Enumeration Date | 2021-09-16 |
| Last Update Date | 2023-10-25 |