| NPI | 1295184133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP MAURICE CARR President/Chief Clinical Advisor 206-954-3348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: WA LW60494715) |
| Enumeration Date | 2016-06-10 |
| Last Update Date | 2021-10-21 |