| NPI | 1255389698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN V SIMPKIN Executive Director 509-736-0704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: WA 601 121532) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2020-08-22 |