| NPI | 1215475744 |
|---|---|
| Other Name | AMOMA, LLC |
| Entity Type | Organization |
| Authorized Contact | ARCHIEL BUAGAS-KINTANAR Provider/Owner 509-228-8323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA AP60643395) |
| Additional Taxonomies | 251J00000X Nursing Care |
| 261QM0801X | |
| 261QM0850X Clinic/Center, Adult Mental Health (Licence: WA AP60643395) | |
| Enumeration Date | 2017-02-03 |
| Last Update Date | 2023-05-24 |