| NPI | 1194743823 |
|---|---|
| Other Name | PROVIDENCE INTERVENTION CENTER FOR ASSAULT & ABUSE |
| Entity Type | Organization |
| Authorized Contact | JOYCE KOBAYASHI Dir Revenue Cycle Mgmt Nwsa 425-317-0186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2008-09-21 |