| NPI | 1699878082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELVIN K MA President 253-840-0406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD00022157) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2018-03-17 |