| NPI | 1861688392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT ARNOLD JOHNSON Owner 509-301-6384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA MD00021214) |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2007-09-19 |