| NPI | 1508068800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDEN MANAWADU CEO 509-946-3340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: WA 50C0001170) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2013-05-24 |