| NPI | 1083132229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATHEW MATHIESEN CEO 509-837-3090 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 273R00000X Psychiatric Unit |
| Additional Taxonomies | 282N00000X General Acute Care Hospital |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2017-09-08 |
| Last Update Date | 2024-10-03 |