| NPI | 1215244520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY K MAECHTLE Fiscal Administrator 509-758-3344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: WA 601642674) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: WA 601642674) |
| Enumeration Date | 2010-09-08 |
| Last Update Date | 2010-09-08 |