| NPI | 1275953648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH AYELE Owner 206-769-5756 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: WA 60218125) |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2014-04-23 |