| NPI | 1952081911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARINA SHEPEL Contracting Manager 206-383-4781 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2023-07-24 |
| Last Update Date | 2023-11-28 |