NPI | 1215379086 |
---|---|
Entity Type | Organization |
Authorized Contact | LORI EASTEP Partner/Therapist 509-279-8838 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW00008611) |
1041C0700X Social Worker, Clinical (Licence: WA LW60185885) | |
Enumeration Date | 2013-07-22 |
Last Update Date | 2024-11-20 |