| NPI | 1326495490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J TEFFT Owner 253-358-3143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: WA AP60521323) |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2024-08-13 |