NPI | 1366859662 |
---|---|
Entity Type | Organization |
Authorized Contact | JANA PURDY A RN P 253-448-3502 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: WA AP60296832) |
Enumeration Date | 2014-07-18 |
Last Update Date | 2014-07-18 |