NPI | 1174036578 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY TODD ALLGAIER CEO 509-222-1275 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2017-11-08 |
Last Update Date | 2018-07-17 |