| NPI | 1568705689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA A STEWART Owner/Operator 253-691-0447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: WA MTSW.FS.00004284) |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2013-09-11 |