| NPI | 1417252438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOY E HITZTALER Owner, Counselor 253-254-8249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: WA LH 60130164) |
| Enumeration Date | 2011-01-22 |
| Last Update Date | 2011-01-22 |