| NPI | 1659725455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA DESMOND President 206-747-7681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: WA NT60647845) |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2016-04-18 |