| NPI | 1720511256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES DALE HOWARD Owner 253-759-4881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: WA MD00014521) |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2017-04-11 |