| NPI | 1558530683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD W ANDERSON Assistant Secretary Enrollment 425-358-9786 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MT 17652) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2025-05-07 |