| NPI | 1245507664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER PATRICK KORSGAARD Chairman Of The Board 509-389-5794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP30007598) |
| Enumeration Date | 2011-11-30 |
| Last Update Date | 2016-11-30 |