| NPI | 1184158750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBBIN CHARLENE HANSEN Chemical Dependency Professional 509-533-6910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2022-07-21 |