| NPI | 1356651616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARCY KAY FOX Officer 206-522-6339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: WA 2356) |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2010-10-20 |