| NPI | 1154970010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERMAN ROBINSON Clinical Supervisor /Owener 509-474-1148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0800X Clinic/Center, Recovery Care |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2019-11-11 |