| NPI | 1427840313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FADUMO I OMAR Co Owner/Partner 206-250-7034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-05-19 |
| Last Update Date | 2025-05-19 |