NPI | 1275360083 |
---|---|
Entity Type | Organization |
Authorized Contact | CAROLINE A BARRETT Owner 360-720-4374 |
Organization Subpart ? | No |
Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine |
Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
Enumeration Date | 2024-09-16 |
Last Update Date | 2025-07-31 |