| NPI | 1932860483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARINA SHEPEL Contracting Manager 425-214-9321 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084B0040X Psychiatry & Neurology Behavioral Neurology & Neuropsychiatry |
| Enumeration Date | 2022-01-06 |
| Last Update Date | 2022-01-13 |