| NPI | 1194049510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON LEE BERREMAN President/A RN P 509-248-4303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: WA AP30006105) |
| Enumeration Date | 2010-03-15 |
| Last Update Date | 2023-01-16 |