| NPI | 1336411016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD LOSCH President 253-770-7263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: WA 610564519) |
| Enumeration Date | 2012-01-27 |
| Last Update Date | 2012-03-19 |