| NPI | 1457621062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH JOWANNA HARMAN-STEVER President 360-823-0888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: WA AC415) |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2012-01-12 |