| NPI | 1821279779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARINA SHEPEL Contracting & Credentialing Manager 425-214-9321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| Enumeration Date | 2007-11-20 |
| Last Update Date | 2023-11-28 |