| NPI | 1013451079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE DEROUSSE Owner 206-354-8382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: WA MA 60708337) |
| Enumeration Date | 2016-12-10 |
| Last Update Date | 2016-12-10 |