| NPI | 1265748388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE JOHNSON Staff 253-620-5014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: WA CG 60158344) |
| Enumeration Date | 2010-08-26 |
| Last Update Date | 2010-08-26 |