| NPI | 1003437211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL DENISE THOMPSON Owner/Provider 360-633-5835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2020-04-28 |
| Last Update Date | 2020-04-28 |