| NPI | 1578925921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSE MCCLELLAND Owner 206-402-3375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA MD60133295) |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2022-07-28 |