| NPI | 1164729836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALEE WELLINGTON Clinical Director 509-586-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA 03143400) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2011-02-16 |
| Last Update Date | 2011-02-16 |