| NPI | 1629788278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARINA SHEPEL Contracting Manager 425-214-9321 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2022-12-05 |
| Last Update Date | 2024-04-03 |