| NPI | 1225305261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMETT AARON KOELSCH Manager 360-867-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311500000X Alzheimer Center (Dementia Center) (Licence: MT 12335) |
| Enumeration Date | 2011-11-18 |
| Last Update Date | 2011-12-14 |