| NPI | 1124353156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN LAWRENCE SLOAN Owner 206-375-2774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA MD00029132) |
| Enumeration Date | 2009-10-08 |
| Last Update Date | 2009-10-08 |