| NPI | 1649461740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA LYN PETERSON Business Manager 425-533-5487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2016-11-23 |