| NPI | 1255530804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROLAND BARACH President 206-439-1762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA 555) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WA 583) |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2008-06-24 |