NPI | 1801406020 |
---|---|
Entity Type | Organization |
Authorized Contact | RODERICK JEROME WILLIAMS Pmhnp 360-334-0128 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2020-08-03 |
Last Update Date | 2020-08-03 |