| NPI | 1972297877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL LONG Operator 253-326-0555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 103K00000X Behavior Analyst | |
| 1041C0700X Social Worker Clinical | |
| 171400000X | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2023-06-05 |
| Last Update Date | 2023-06-05 |