NPI | 1700933454 |
---|---|
Entity Type | Organization |
Authorized Contact | BRUCE JOHN TAPPER President 360-379-3500 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY1976) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical |
163W00000X Registered Nurse (Licence: WA RN00067869) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP30006958) | |
Enumeration Date | 2007-01-04 |
Last Update Date | 2023-01-05 |