| NPI | 1689874919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL MARIE LEGATE Office Manager 360-378-4474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: WA 7064363) |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2007-07-24 |