| NPI | 1962569863 |
|---|---|
| Doing Business As | DISCOVERYMD, NORTH SEATTLE |
| Entity Type | Organization |
| Authorized Contact | MAGDALEN GUSTILO Director Of Payer Relations 714-568-7667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA 092200) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2023-05-08 |