Organization
URBAN REFUGE THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAIRUT WELLS MSW, LSWAIC (CLINICAL SOCIAL WORKER)
(253) 389-6353
Entity
Organization
Contact information
Practice address
2550 YAKIMA AVE UNIT A, TACOMA, WA 98405-3863
(253) 389-6353
Mailing address
6308 52ND AVE W, UNIVERSITY PLACE, WA 98467-3711
(253) 389-6353
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/26/2025
Last updated
09/26/2025
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