| NPI | 1003006461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE HAWKINS A/R Clerk 509-685-0656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA 332001193) |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2008-10-08 |