| NPI | 1639947815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT WIENER Medical Director 206-939-1079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult | |
| Enumeration Date | 2023-12-18 |
| Last Update Date | 2023-12-18 |