| NPI | 1457553497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE J ZENDER CFO 360-788-6797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 1041C0700X Social Worker Clinical | |
| 2084P0005X Psychiatry & Neurology Neurodevelopmental Disabilities | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 2080P0202X Pediatrics Pediatric Cardiology | |
| 207RC0000X Internal Medicine Cardiovascular Disease | |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2011-02-16 |