| NPI | 1245628072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | C. HUGH JONSON Chairman Of Board Of Directors 360-240-8489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: ND100202) |
| Enumeration Date | 2014-12-31 |
| Last Update Date | 2014-12-31 |