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 |