| NPI | 1265611552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEN NICHOLS-HOPPE President 425-774-5777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PSYCH0001028) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WA PSYCH0001028) |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: WA AP30001487) | |
| Enumeration Date | 2007-11-02 |
| Last Update Date | 2007-11-02 |