NPI | 1376125849 |
---|---|
Doing Business As | MERRILL SHATTUCK LMHC |
Entity Type | Organization |
Authorized Contact | MERRILL SHATTUCK Owner 206-317-8287 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2021-04-24 |
Last Update Date | 2023-12-18 |