| NPI | 1053547547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA SANDERSON Medical Billing Contractor 206-362-4141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA MD00011229) |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2009-06-10 |