| NPI | 1669873626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN M FEELEY Owner 360-561-4238 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: WA CH 60217866) |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2014-09-09 |