| NPI | 1619354792 |
|---|---|
| Doing Business As | JEANETTE ELLISON, ARNP |
| Entity Type | Organization |
| Authorized Contact | JEANETTE MARIE ELLISON Owner 206-498-8752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: WA AP60449766) |
| Enumeration Date | 2015-04-28 |
| Last Update Date | 2015-04-28 |