| NPI | 1245270693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID D GERARDOT Psychiatric Nurse Practitioner 360-352-1668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/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 |