NPI | 1073899191 |
---|---|
Entity Type | Organization |
Authorized Contact | PETER B. LUCAS Owner 206-713-8713 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Additional Taxonomies | 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
101YM0800X Counselor, Mental Health | |
103TC0700X Psychologist, Clinical | |
1041C0700X Social Worker, Clinical | |
Enumeration Date | 2011-11-03 |
Last Update Date | 2022-06-22 |