| NPI | 1174822704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM ROBINSON Owner 509-453-6541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: WA MD00012714) |
| Enumeration Date | 2011-03-22 |
| Last Update Date | 2011-03-22 |