NPI | 1811915713 |
---|---|
Entity Type | Organization |
Authorized Contact | RYAN PARDO Chief Legal Officer 425-279-8500 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
101YM0800X Counselor Mental Health | |
261QM0850X Clinic/Center Adult Mental Health | |
103TC0700X Psychologist Clinical | |
1041C0700X Social Worker Clinical | |
261Q00000X Clinic/Center | |
261QM0855X Clinic/Center Adolescent and Children Mental Health | |
Enumeration Date | 2006-07-18 |
Last Update Date | 2024-11-04 |