| NPI | 1265828578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL R GROSSBARD Psychologist 206-947-0152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: WA 60309240) |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2015-04-15 |