| NPI | 1811704398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS CHARLES CUMMINGS Owner 253-653-1185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-12-17 |
| Last Update Date | 2024-12-17 |