| NPI | 1639985922 |
|---|---|
| Doing Business As | ICHS OUTPATIENT BEHAVIORAL HEALTH - SHORELINE |
| Entity Type | Organization |
| Authorized Contact | HERMES SHAHBAZIAN CFO 206-788-3618 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-12-10 |
| Last Update Date | 2024-12-10 |