| NPI | 1255001624 |
|---|---|
| Doing Business As | CONQUER |
| Entity Type | Organization |
| Authorized Contact | JACOB GRILLO CEO 425-387-1863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 261Q00000X | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2021-09-17 |
| Last Update Date | 2024-02-22 |