| NPI | 1184405052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASEY MCGINNIS Owner 425-202-5439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 103T00000X Psychologist | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| Enumeration Date | 2023-10-09 |
| Last Update Date | 2026-04-12 |