| NPI | 1114381589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT L MARQUIS Owner/Administrator 509-317-2140 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251B00000X Case Management (Licence: WA 39177100) |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2016-04-11 |