| NPI | 1417312356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE FREDERICK BRUMMELL Administrator/Therapist 253-333-2823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: WA 00006350) |
| Enumeration Date | 2015-12-18 |
| Last Update Date | 2015-12-18 |