| NPI | 1003596412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDEEP GREWAL Manager/Owner 206-643-7988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-07-20 |
| Last Update Date | 2023-07-20 |