| NPI | 1871651042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN EDWARD DUNNE Owner 425-235-7383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: WA 14418) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2020-08-22 |