| NPI | 1952113995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE JOHNSON Provider/Owner 253-507-0668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-01-27 |
| Last Update Date | 2025-08-20 |