| NPI | 1124164751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES CLIFFORD GREEN President 509-455-8660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA 0015023) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: WA 445) |
| 103T00000X Psychologist (Licence: WA 445) | |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2008-01-08 |