| NPI | 1073975330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE CLUEN Member 509-452-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: WA CH60610337) |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2016-03-25 |