| NPI | 1033347422 |
|---|---|
| Former Legal Business Name | BYWATER PSYCHIATRIC CONSULTATION |
| Entity Type | Organization |
| Authorized Contact | ELIZABETH M. HOLMES Owner 360-708-9741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP30007181) |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2020-04-06 |