| NPI | 1972433571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWENDONEAN S HORNBEAK Pmhnp/Sole Owner 253-753-0026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2026-05-23 |
| Last Update Date | 2026-07-01 |