| NPI | 1477907756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN SMITH President 360-969-0291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: WA NT60613575) |
| Enumeration Date | 2016-04-22 |
| Last Update Date | 2016-04-22 |