| NPI | 1760811475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDAA SUE KELLAMS-KEITH Owner 360-709-3332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP30004049) |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2013-11-04 |