| NPI | 1023511581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA MARIE MCCARTY Owner, Manager 206-525-8012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: WA NT00001531) |
| Enumeration Date | 2018-03-12 |
| Last Update Date | 2018-03-12 |