| NPI | 1083053854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA F PARKER Executive Director 509-927-6838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA 32160200) |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2013-06-14 |