| NPI | 1093573834 |
|---|---|
| Doing Business As | KITSAP BRAIN INJURY |
| Entity Type | Organization |
| Authorized Contact | WILLIAM GALEN HORTENSTINE Executive Director 360-362-3076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2024-03-07 |
| Last Update Date | 2024-03-07 |