| NPI | 1134557390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM PATRICK KOGLER Office Administrator 509-328-1582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2013-10-28 |
| Last Update Date | 2015-07-20 |