| NPI | 1033374749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUPRIYA KANG Owner / Sole Proprietor 425-749-5008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: WA MD00047610) |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2008-07-22 |