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 |