| NPI | 1144603853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASIF RASHID KHAN CEO 253-666-5912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine |
| 208100000X Physical Medicine & Rehabilitation | |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2015-06-30 |