| NPI | 1841605524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AJAINDER SHERGILL Owner 360-334-1882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: WA 603397063) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2014-06-21 |
| Last Update Date | 2020-08-11 |