| NPI | 1134823156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOVIE BRITTON Credentialing Specialist 509-866-4112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2023-03-27 |
| Last Update Date | 2025-03-19 |