NPI | 1053782078 |
---|---|
Entity Type | Organization |
Authorized Contact | KIM WATKINS Credentialing & Contracting Special 360-619-2226 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2015-10-16 |
Last Update Date | 2024-12-13 |