| NPI | 1982355822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET J LOVE Member/Manager 360-808-4422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-01-12 |
| Last Update Date | 2022-01-12 |