| NPI | 1003957655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTI L PETERS Office Manager 360-671-0383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: WA MD00013425) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA MD00013425) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2020-08-22 |