NPI | 1134768351 |
---|---|
Other Name | PASSAGES FAMILY SUPPORT HEALTH HOME |
Entity Type | Organization |
Authorized Contact | SHIRLEY J MAIKE Compliance Officer 509-892-9241 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Enumeration Date | 2020-01-06 |
Last Update Date | 2020-01-06 |