| NPI | 1861813834 |
|---|---|
| Other Name | DOC HQ HEALTH SERVICES |
| Entity Type | Organization |
| Authorized Contact | G. STEVEN HAMMOND Chief Medical Officer 360-725-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2400X Clinic/Center, Prison Health |
| Enumeration Date | 2013-12-18 |
| Last Update Date | 2013-12-18 |