| NPI | 1972204816 |
|---|---|
| Doing Business As | PUYALLUP CHILD AND TEEN THERAPY |
| Entity Type | Organization |
| Authorized Contact | AMEE ELIZABETH RESPICIO Owner 206-304-0788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2023-03-16 |
| Last Update Date | 2024-08-13 |