NPI | 1114675162 |
---|---|
Entity Type | Organization |
Authorized Contact | SCOTT WIENER Chief Medical Officer 206-785-1015 |
Organization Subpart ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry |
364SP0809X Clinical Nurse Specialist Psychiatric/Mental Health, Adult | |
Enumeration Date | 2022-03-17 |
Last Update Date | 2022-03-17 |