| NPI | 1700025293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN SPARKS Office Manager 509-340-3303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: WA MA60058182) |
| Enumeration Date | 2009-02-06 |
| Last Update Date | 2009-02-06 |