| NPI | 1588807176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIRK FARRELL President 206-548-9450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: WA CH00003200) |
| Enumeration Date | 2009-04-13 |
| Last Update Date | 2012-10-17 |