| NPI | 1649027384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOBU BUCKLEY Owner 425-474-5957 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2024-05-01 |
| Last Update Date | 2024-11-27 |