| NPI | 1972397354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER PESCE Sud Clinical Supervisor 253-279-7992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2025-04-08 |
| Last Update Date | 2025-04-08 |