| NPI | 1013343474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PENNY S BELL Administrator 509-212-5674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2013-09-17 |
| Last Update Date | 2025-05-19 |