| NPI | 1659313930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA MARTELL Director 360-402-1433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MS pending) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2022-07-21 |