| NPI | 1164705489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD LINCOLN FUREDY Chairman Of The Board 425-657-0023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA MD00011858) |
| Enumeration Date | 2011-09-22 |
| Last Update Date | 2011-09-22 |