| NPI | 1053723635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARINA SHEPEL Contacting And Credentialing Manage 425-214-9321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2023-11-28 |