| NPI | 1427326453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY E HIROTO Staff Psychologist 253-583-1210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QV0200X Clinic/Center, VA (Licence: CA 25320) |
| Enumeration Date | 2011-12-05 |
| Last Update Date | 2015-03-23 |