| NPI | 1992564900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELSEY ELLINGSON Owner/Mental Health Therapist 360-230-8346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-03-13 |
| Last Update Date | 2024-03-26 |