| NPI | 1891090791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA J TRIGG Owner 206-701-9456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP30006511) |
| Enumeration Date | 2011-01-24 |
| Last Update Date | 2011-05-23 |