| NPI | 1114164928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID SHAW Owner 425-392-0654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA MD00031334) |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2009-02-13 |