| NPI | 1922081066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLEY ALLEN President 360-253-6425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: WA MD00039150) |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2020-08-22 |