| NPI | 1174158125 |
|---|---|
| Former Legal Business Name | SENIOR CONNECTIONS PSYCHIATRY, PLLC. |
| Entity Type | Organization |
| Authorized Contact | DAVID W AGNOR Executive Director 360-253-4912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2020-03-10 |
| Last Update Date | 2020-03-10 |