| NPI | 1306177480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN NEVILLE President 206-214-7482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: WA PY00001809) |
| Enumeration Date | 2010-01-28 |
| Last Update Date | 2010-01-28 |