| NPI | 1083933972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERONICA CASTANEDA Wraparound Care Coordinator 509-453-1344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: WA CG 60144476) |
| Enumeration Date | 2010-05-18 |
| Last Update Date | 2010-05-18 |