| NPI | 1528182573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN PARDO Chief Legal Officer 425-213-9398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 103T00000X Psychologist | |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry | |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2024-10-08 |