| NPI | 1801818745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN F CONNOLLY Managing Partner 360-438-2727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA 0600004169) |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2018-06-21 |