NPI | 1245270693 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID D GERARDOT Psychiatric Nurse Practitioner 360-352-1668 |
Organization Subpart ? | No |
Primary Taxonomy | 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult (Licence: WA AP30006965) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA LH00003805) |
Enumeration Date | 2006-06-07 |
Last Update Date | 2009-03-23 |