| NPI | 1255180741 |
|---|---|
| Doing Business As | SPROUT PSYCHIATRY |
| Entity Type | Organization |
| Authorized Contact | MAXWELL TAYLOR Owner/Provider 206-485-2079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-05-16 |
| Last Update Date | 2024-05-16 |