| NPI | 1275652463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN L TAYLOR Owner 360-752-9919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA 39245) |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: WA 39245) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2009-04-09 |