NPI | 1174165112 |
---|---|
Doing Business As | NDC |
Doing Business As | NEW DAWN |
Entity Type | Organization |
Authorized Contact | KYNDRA NICOLE SCOTT Owner 509-308-4389 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
1041C0700X Social Worker, Clinical | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2019-10-10 |
Last Update Date | 2020-07-09 |