| NPI | 1992888234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSA M JOHNSON Owner 206-367-0550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP30000777) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2020-08-22 |