| NPI | 1023475589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL LYNN KOTTWITZ A RN P 509-850-6926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: WA AP30006039) |
| Enumeration Date | 2016-01-28 |
| Last Update Date | 2016-01-28 |