NPI | 1700867132 |
---|---|
Entity Type | Organization |
Authorized Contact | KEVIN V CONNOLLY Director 425-228-5336 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
Enumeration Date | 2005-11-11 |
Last Update Date | 2015-11-17 |