| NPI | 1336687987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM AFFRON KARTMAN Medical Director 360-734-2935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: WA MD00028884D) |
| Enumeration Date | 2017-02-03 |
| Last Update Date | 2017-02-03 |