| NPI | 1801135884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BO LEBASTCHI Owner 425-647-1869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: WA NT60120417) |
| Enumeration Date | 2013-02-11 |
| Last Update Date | 2013-02-11 |