| NPI | 1174017388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE FRANCINE WIDHALM CAC Supervisor 509-473-4810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60331678) |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2018-06-20 |