| NPI | 1902097009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA LYN PETERSON Business Manager 425-802-2861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2008-07-01 |