| NPI | 1811303860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER BROCK-GARCIA Owner 425-894-3384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TX AP120671) |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2014-07-09 |