| NPI | 1154198653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MACY A SCHORNO Owner 509-306-1898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QF0050X Clinic/Center, Family Planning, Non-Surgical |
| 261QH0100X Clinic/Center, Health Services | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2023-12-06 |
| Last Update Date | 2024-04-19 |