| NPI | 1104978824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNABELLE PAYNE Director 509-447-5651 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2011-09-07 |