| NPI | 1013123629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL STARR KEITH CEO 360-709-3332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA ap30003632) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2010-05-12 |