| NPI | 1730853870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARINA SHEPEL Contracting & Credentialing Manager 425-214-9321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| 283Q00000X Psychiatric Hospital | |
| Enumeration Date | 2021-08-03 |
| Last Update Date | 2022-02-03 |