NPI | 1891366068 |
---|---|
Entity Type | Organization |
Authorized Contact | MARINA SHEPEL Contracting & Credentialing Manager 425-214-9321 |
Organization Subpart ? | Yes |
Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
261QM0850X Clinic/Center, Adult Mental Health | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2021-07-08 |
Last Update Date | 2024-04-29 |