| NPI | 1588618292 |
|---|---|
| Doing Business As | WASHINGTON REGIONAL SENIOR CLINIC B |
| Entity Type | Organization |
| Authorized Contact | MARY JO ROTHROCK Director Clinic Administration 479-463-1390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2020-08-22 |