| NPI | 1073900403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT KELLEY BURLINGAME President/Owner 360-256-3686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA 00027023) |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2015-04-23 |