| NPI | 1033351671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEENA K MASON Mental Health Provider 509-961-9702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA LH00010083) |
| Enumeration Date | 2009-03-27 |
| Last Update Date | 2009-03-27 |