| NPI | 1003446857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAT TRAN Owner 206-370-4748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2020-01-21 |
| Last Update Date | 2021-10-05 |