| NPI | 1265150379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LELIA DAVIS Physician/Owner 425-200-4546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2022-08-16 |
| Last Update Date | 2023-03-17 |