| NPI | 1467544171 |
|---|---|
| Other Name | SUMMIT BRANCH |
| Entity Type | Organization |
| Authorized Contact | SEAN POTTER Billing Manager 206-323-0930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 261QM2800X Clinic/Center, Methadone Clinic |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2024-05-09 |