| NPI | 1669734976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MARTIN WHITE Psychologist 206-282-2065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA WA1275) |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2012-06-12 |