| NPI | 1891825196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STUART LEE SMITHSON Owner 509-783-7242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: WA 2074) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-08-22 |