| NPI | 1407052350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARLEY O. YOUNGBLOOD President 360-696-4405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH00003002) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2007-10-18 |