| NPI | 1891588653 |
|---|---|
| Doing Business As | CCM PEDIATRIC BEHAVIORAL AND DEVELOPEMENTAL |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER CHENG Medical Director 425-276-1825 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics |
| Additional Taxonomies | 208000000X Pediatrics |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 163WC0400X Registered Nurse, Case Management | |
| 2080C0008X Pediatrics, Child Abuse Pediatrics | |
| 2080P0008X Pediatrics, Neurodevelopmental Disabilities | |
| 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry | |
| Enumeration Date | 2025-05-26 |
| Last Update Date | 2025-11-27 |