| 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 |