| NPI | 1407500812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENITA MARTIN Dnp 206-816-4594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2022-02-05 |
| Last Update Date | 2022-02-05 |