| NPI | 1073062972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA ZAMBITO Owner 360-457-5139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: WA AP300006177) |
| Enumeration Date | 2016-10-03 |
| Last Update Date | 2016-10-31 |