| NPI | 1760667695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY G HUSE President 253-473-1050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: WA 1918) |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2008-03-12 |