| NPI | 1285891648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY LYNNE THOMAS President 360-944-5454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: WA CH00033951) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2008-05-21 |