| NPI | 1023568896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY JOHNSON Director 509-328-6274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA 020701rc00001355) |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2016-10-05 |