| NPI | 1366856957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANELL CHANDLER Owner/President 360-606-2502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: WA CH00034459) |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2025-12-19 |