| NPI | 1982469987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP A HENNESSEY Physician Assistant 206-333-4656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2024-02-19 |
| Last Update Date | 2024-06-02 |