| NPI | 1205315397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY BENSCH Credentialing Specialist 509-961-4868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2018-08-09 |