| NPI | 1407979289 |
|---|---|
| Other Name | LUMMI HEALING SPIRIT CLINIC |
| Doing Business As | LUMMI OTP, LUMMI CARE |
| Doing Business As | LUMMI HEALING SPIRIT CLINIC |
| Entity Type | Organization |
| Authorized Contact | SARA J FOLSOM Contracting & Reimbursement Superv. 360-312-2489 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0800X Clinic/Center, Recovery Care |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2023-07-17 |