| NPI | 1003346594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC DAVID PELLICCIARO Psychiatrist 425-467-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology Addiction Psychiatry (Licence: WA MD00036813) |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2019-04-17 |