| NPI | 1891064606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAROD JOHN FITZGERALD Ph D 509-758-9698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: WA LH 00011315) |
| Enumeration Date | 2011-12-22 |
| Last Update Date | 2011-12-22 |