| NPI | 1679607618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN RUMINSON President 360-263-5420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: OR MD 9408) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2008-10-23 |