| NPI | 1174759914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GORDON CABLE Cdmhp Supervior 509-783-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA RC00033979) |
| Enumeration Date | 2009-06-08 |
| Last Update Date | 2009-06-08 |