| NPI | 1063281426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE ANNE BELLINGHAM WISENOR Owner 509-455-7654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-12-27 |
| Last Update Date | 2024-04-23 |