| NPI | 1033926282 |
|---|---|
| Former Legal Business Name | LAKE ASPEN INTEGRATIVE SERVICES |
| Entity Type | Organization |
| Authorized Contact | MELISSA SIMMONS Owner 509-594-1867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TC0700X Psychologist, Clinical | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2024-12-11 |
| Last Update Date | 2024-12-11 |