| NPI | 1871967653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE SILER Administrative Assistant 253-426-4691 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: WA AP60610696) |
| Enumeration Date | 2015-11-17 |
| Last Update Date | 2015-11-17 |