| NPI | 1962884239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL HARVEY Owner 509-475-1347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: WA PHHC.FX.60543314) |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2015-06-23 |