| NPI | 1124353156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN LAWRENCE SLOAN Owner/Provider 206-829-9137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA MD00029132) |
| Enumeration Date | 2009-10-08 |
| Last Update Date | 2025-11-15 |