| NPI | 1215139605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE YOUTSEY Adminstrative Assistant 360-650-3881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: WA LD00003523) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2020-08-22 |