| NPI | 1922119197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISE J CUTTER Chief Financial Officer 360-299-1301 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: WA H-134) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2013-01-25 |