NPI | 1427362201 |
---|---|
Doing Business As | DBA LIFESTANCE HEALTH |
Entity Type | Organization |
Authorized Contact | RYAN PARDO Chief Legal Officer 206-399-1493 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IN 02001874A) |
Additional Taxonomies | 103T00000X Psychologist (Licence: IN 20040842A) |
104100000X Social Worker (Licence: IN 34000761A) | |
Enumeration Date | 2010-08-04 |
Last Update Date | 2024-04-05 |