| NPI | 1952506420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC F. STERN Director, Health Services Doc 360-725-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Additional Taxonomies | 311Z00000X Custodial Care Facility |
| 363A00000X Physician Assistant | |
| 363LA2200X Nurse Practitioner Adult Health | |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2020-08-22 |