| NPI | 1750076535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA HOLLIDAY CEO 425-785-7916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry |
| 2084S0010X Psychiatry & Neurology, Sports Medicine | |
| Enumeration Date | 2023-04-07 |
| Last Update Date | 2023-04-07 |