| NPI | 1851365167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELLA REESE M RAMIREZ Mental Health Nurse Practitioner 360-823-2323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: WA AP30007047) |
| Additional Taxonomies | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: WA AP30007047) |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2008-03-14 |