| 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 Community/Behavioral Health |
| Enumeration Date | 2020-01-06 |
| Last Update Date | 2020-01-06 |