| NPI | 1467126607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA BADENNA Admin Direct 206-257-0134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2021-08-02 |
| Last Update Date | 2021-08-02 |