| NPI | 1679765259 |
|---|---|
| Other Name | INTERNATIONAL DISTRICT CLINIC |
| Entity Type | Organization |
| Authorized Contact | PEGGY PHUNG Assistant Finance Manager 206-788-3605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2007-08-16 |