| NPI | 1831324425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID R MOORE Co Owner 253-334-4673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY00003591) |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2009-05-26 |