NPI | 1063619377 |
---|---|
Entity Type | Organization |
Authorized Contact | KRISTY NEEDHAM CEO 509-547-2204 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 101Y00000X Counselor |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
101YM0800X Counselor, Mental Health | |
103T00000X Psychologist | |
1041C0700X Social Worker, Clinical | |
Enumeration Date | 2007-06-29 |
Last Update Date | 2024-01-11 |