| NPI | 1215334982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT KOPEC Psychiatric Nurse Practitioner 253-304-8039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X (Licence: WA AP60411730) |
| Enumeration Date | 2014-11-24 |
| Last Update Date | 2014-11-24 |