| NPI | 1902044514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH NATHAN ASHER Psychologist 206-322-4552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: WA 1220) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: WA 1220) |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2009-02-04 |