| NPI | 1104286020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON I GIM President 253-588-4225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: WA WA3284) |
| Enumeration Date | 2016-03-04 |
| Last Update Date | 2016-03-04 |